As you know, physical therapy for TMD patients is quite involved and very complex. Before we refer any patients for physiotherapy, we ask a series of questions of the therapist which include:

1. How much manual therapy do you use? Modalities?
2. Do you work as low as pelvis checking on torsion and tilt?
3. you work the total spine for flexibility and balance?
4. Do you search for cause of present pain rather than treat area of patient complaint (this provides only temporary relief)?
5. Do you assess then address the whole trunk including hips and shoulders before treating the TMD?
6. Do you work both sides of the body?
7. Do you dismiss in "gradient" fashion?

- Must be familiar with the need to refer patients to relevant medical specialists (eg: neurologist).
- Must be familiar with the interrelationship of posture with dental occlusion.
- Should complete a minimum of 12 hours per year of specific temporomandibular joint related continuing education.
- Should have close familiarity/formal training in osteopathy techniques.
- Should have a formal qualification (or be working towards one) in the "St. John's Seminars Neuromuscular Therapy" massage techniques.